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February 22, 2006

Heroin Detoxification

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2006;295(8):885-886. doi:10.1001/jama.295.8.885-b

To the Editor: The study by Dr Collins and colleagues1 will surely be of interest to hospitals and other clinical facilities that are considering the introduction of either ultrarapid opiate detoxification (using general anesthesia along with an opioid antagonist, such as intravenous naloxone) or rapid opiate detoxification (using other means of sedation along with an opioid antagonist, such as oral naltrexone). The results were mixed, as expected in a study addressing management of patients with heroin addiction, one of the most intractable problems in addiction medicine.